Active NPI
Rosemary Malloy, FNP
- Nurse Practitioner
- Miles City, MT
National Provider Identifier
1689760225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN6298
- Practice address
- 2600 Wilson Street
Miles City, MT 59301-5016 - Phone
- (406) 233-2600
- Fax
- (406) 233-2763
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN6298 | MT | Primary |
Addresses
Primary practice location
2600 Wilson Street
Miles City, MT 59301-5016
Mailing address
2600 Wilson Street
Miles City, MT 59301-5016
Phone (406) 233-2600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0439699 | Medicaid | MO | |
| 6298 | Other | MT | MT STATE LIC NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN6298 | MT | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1689760225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 WILSON STREET",
"city": "MILES CITY",
"state": "MT",
"postal_code": "593015016",
"telephone_number": "406-233-2600",
"fax_number": "406-233-2763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 WILSON STREET",
"city": "MILES CITY",
"state": "MT",
"postal_code": "593015016",
"telephone_number": "406-233-2600",
"fax_number": "406-233-2763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLOY",
"first_name": "ROSEMARY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MT",
"license": "RN6298",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0439699",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT STATE LIC NUMBER",
"identifier": "6298",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miles City, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.